我国中医护理人力资源空间分布差异及动态演进的研究  

Spatial distribution differences and dynamic evolution of Traditional Chinese Medicine nursing human resources in China

作　　者：陆镇涛 石福霞[2] 王玉慧 郭敬[1] LU Zhentao;SHI Fuxia;WANG Yuhui;GUO Jing(Nursing Department,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing,100053,China)

机构地区：[1]中国中医科学院广安门医院护理部,北京市100053 [2]中国中医科学院广安门医院ICU,北京市100053

出　　处：《中国护理管理》2025年第2期267-271,共5页Chinese Nursing Management

基　　金：首都卫生发展科研专项(首发2024-2-4152);中国中医科学院广安门医院护航工程——骨干人才培育项目(9323040)。

摘　　要：目的:探索我国中医医院护理人力资源分布的空间差异及动态演进过程,为我国中医医院护理人力资源的优化提供科学依据。方法:提取2012年—2022年我国31个省(区、市)的中医医院护理人力资源数据,应用集聚度以及核密度估计的方法探究我国中医医院护理人力资源配置公平性在空间分布方面的差异及其动态演进过程。结果:西部地区的中医护理人力资源年均增长率最高,为10.70%。黑龙江等8个省(区、市)的卫生资源集聚度(HRAD)均小于1,其余省(区、市)的HRAD均大于等于1。人口集聚度(PAD)最高的是上海市,为27.145,最低的是西藏,为0.020。北京等15个省(区、市)的HRAD/PAD均大于1。结论:我国中医医院护理人力资源配置逐年增加,但公平性不足。空间分布上,低集聚度长期分布在我国中部和西部,高集聚度城市与低集聚度城市间差距较大。近年来,虽然整体配置水平有了较大提升,但区域间的差异仍较明显。Objective:To explore the spatial distribution differences and dynamic evolution of nursing human resources in Traditional Chinese Medicine(TCM)hospitals,and provide scientific basis for the optimization of nursing human resources in TCM hospitals.Methods:We collected and extracted the nursing human resources data of TCM hospitals from 31 provinces,municipalities and autonomous regions in China from 2012 to 2022 to explore the spatial differences in the distribution of nursing human resources in those hospitals in China and its dynamic evolution based on agglomeration degree and Kernel density estimation.Results:The average annual growth rate of TCM nursing human resources in the western region was the highest,at 10.70%.The HRAD of 8 provinces,municipalities and autonomous regions including Heilongjiang was less than 1,while the HRAD of other provinces,municipalities and autonomous regions was greater than or equal to 1.The highest PAD was 27.145 in Shanghai,and the lowest was 0.020 in Xizang.15 provinces,municipalities and autonomous regions including Beijing had HRAD/PAD ratios greater than 1.Conclusion:The allocation of nursing human resources in TCM hospitals increases year by year,but the fairness is still insufficient.In terms of spatial distribution,low agglomeration degree is observed in the central and western China for a long time,with an apparent gap between high agglomeration degree cities and low agglomeration degree cities.Although recently the overall allocation level has been greatly improved,the regional differences are still obvious.

关 键 词：中医护理 人力资源 集聚度 空间分布 核密度估计 

分 类 号：R47[医药卫生—护理学] R197[医药卫生—临床医学]